Evidence map›Paper›PMID 34672108›Full record

ArticleJournal of the International AIDS Society2021

Innate and adaptive abnormalities in youth with vertically acquired HIV through a multicentre cohort in Spain.

Itzíar Carrasco, Laura Tarancon-Diez, Elena Vázquez-Alejo, Santiago Jiménez de Ory, Talía Sainz, Miren Apilanez, Cristina Epalza, Sara Guillén, José Tomás Ramos, Cristina Díez and 6 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the International AIDS Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 7 institutions in 1 country.

Itzíar CarrascoInfectious Diseases in Paediatric Population, Gregorio Marañón Research Institute (IiSGM) and University Hospital, Madrid, Spain.ORCID 0000-0002-9974-3378
Laura Tarancon-DiezImmunology Section, Inmuno-Biology Molecular Laboratory, Gregorio Marañón University General Hospital (HGUGM), Gregorio Marañón Health Research Institute (IiSGM), Spanish HIV HGM BioBank, Madrid, Spain.
Elena Vázquez-AlejoImmunology Section, Inmuno-Biology Molecular Laboratory, Gregorio Marañón University General Hospital (HGUGM), Gregorio Marañón Health Research Institute (IiSGM), Spanish HIV HGM BioBank, Madrid, Spain.
Santiago Jiménez de OryInfectious Diseases in Paediatric Population, Gregorio Marañón Research Institute (IiSGM) and University Hospital, Madrid, Spain.
Talía SainzDepartment of Paediatrics, La Paz Research Institute (IdiPAZ) and University Hospital, Madrid, Spain.
Miren ApilanezDepartment of Paediatrics, Donostia University Hospital, País Vasco, Spain.
Cristina EpalzaDepartment of Paediatrics, 12 de Octubre University Hospital, Madrid, Spain.
Sara GuillénDepartment of Paediatrics, Getafe University Hospital, Madrid, Spain.
José Tomás RamosDepartment of Paediatrics, Clínico San Carlos University Hospital, Madrid, Spain.
Cristina DíezDepartment Infectious Diseases, Gregorio Marañón Research Institute and University Hospital, Madrid, Spain.
Jose Ignacio BernardinoDepartment of Infectious Diseases, La Paz Research Institute (IdiPAZ) and University Hospital, Madrid, Spain.
José Antonio IribarrenDepartment of Infectious Diseases, Donostia University Hospital, País Vasco, Spain.
Angielys ZamoraBiochemistry Section, Gregorio Marañón University Hospital, Madrid, Spain.
María Ángeles Muñoz-FernándezImmunology Section, Inmuno-Biology Molecular Laboratory, Gregorio Marañón University General Hospital (HGUGM), Gregorio Marañón Health Research Institute (IiSGM), Spanish HIV HGM BioBank, Madrid, Spain.ORCID 0000-0002-0813-4500
María Luisa NavarroInfectious Diseases in Paediatric Population, Gregorio Marañón Research Institute (IiSGM) and University Hospital, Madrid, Spain.
Pediatric National AIDS Research Network of Spain (CoRISpe) integrated in the Translational Research Network in Pediatric Infectious Diseases (RITIP)Infectious Diseases in Paediatric Population, Gregorio Marañón Research Institute (IiSGM) and University Hospital, Madrid, Spain.
Hospital General Universitario Gregorio Marañón · ESBiogipuzkoa Health Research Institute · ESHospital La Paz Institute for Health Research · ESUniversidad Complutense de Madrid · ESHospital Clínico San Carlos · ESHospital Universitario de Getafe · ESResearch Institute Hospital 12 de Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImmune abnormalities have been described among youth with vertically acquired HIV (YWVH) despite antiretroviral treatment (ART). The CD4/CD8 ratio could be a useful prognostic marker. We assess immune activation and senescence in a cohort of YWVH in comparison to youth without vertically acquired HIV.

methodsYWVH under suppressive ART were included and compared to a group of HIV-negative donors (HD) matched by age and sex, from September 2019 to September 2020. Subset distribution and expression of activation, maturation, senescence and exhaustion markers on T and NK cells were studied on peripheral blood mononuclear cells by multiparametric flow cytometry.

resultsThirty-two YWVH (median age: 24.4 years (interquartile range: 22.5 to 28.3 years)) were included. Among YWVH, CD4- and CD8-T cells showed high levels of activation (HLA-DR/CD38), IL-7 receptor expression (CD127) and exhaustion (TIM-3). Regarding NK cells, YWVH showed increased levels of activation and exhaustion markers compared to HD. Strong inverted correlations were observed between T-cell activation (HLA-DR/CD38), senescence (CD57) and exhaustion (TIGIT, PD-1) levels with the CD4/CD8 ratio among YWVH. HLA-DR, CD69, NKG2D and NKG2A expression levels on NK cells also correlated with the CD4/CD8 ratio. Age at ART initiation was directly associated with higher frequency of CD16

conclusionsImmunological changes associated with vertically acquired HIV, characterized by increased activation and exhaustion levels in innate and adaptive immune components, are only partially restored by ART. The CD4/CD8 ratio can be a useful marker of disease progression for routine clinical practice.

Indexed as

HIV InfectionsLeukocytes, MononuclearAdolescentAdultAnti-Retroviral AgentsCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesHumansLymphocyte ActivationSpainYoung AdultAnti-Retroviral Agentsactivationantiretroviral treatment (ART)exhaustionHIVimmunosenescencevertical transmission

Identifiers

PMID34672108
PMCPMC8528666
OpenAlexW3207964900

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.